As a psychoanalyst, I’ve witnessed many cases of therapeutic failure throughout my career. It is important to understand that failure is not a reflection of the patient or therapist, but an opportunity to reassess and adjust the therapeutic approach. In this article, we will explore the main aspects of therapeutic failure and how to identify it.
What is therapeutic failure?
Therapeutic failure occurs when therapy does not achieve the objectives established by the patient and the therapist. This can happen for several reasons, including the lack of patient engagement, the inappropriate choice of therapeutic approach or the presence of barriers that prevent progress.
It is essential to understand that therapeutic failure is not a unique event, but a process that can be identified and worked over over time. The important thing is to recognize alert signs and take steps to adjust the therapeutic approach.
Identifying signs of therapeutic failure
There are several signs that may indicate therapeutic failure. Some of the most common include lack of progress, decreased patient motivation, resistance to treatment and the presence of symptoms that are not being relieved.
Another important sign is the lack of connection between the patient and the therapist. If the patient feels uncomfortable or does not trust the therapist, it is likely that therapy is not effective.
Causes of therapeutic failure
The causes of therapeutic failure are varied and complex. Some of the main ones include the patient’s lack of engagement, the inappropriate choice of therapeutic approach, the presence of barriers that prevent progress, such as treatment resistance or lack of motivation.
In addition, the therapist’s lack of experience or ability can also contribute to therapeutic failure. It is essential that the therapist has the skills and knowledge necessary to work with the patient effectively.
Overcoming therapeutic failure
If you are facing a therapeutic failure, it is important not to give up. Instead, try to identify the reasons that are preventing progress and adjust the therapeutic approach as needed.
This may include changing therapist, changing the frequency or duration of sessions, or incorporating new techniques or strategies. The important thing is to find an approach that works for you and your patient.
Remember that therapeutic failure is not a reflection of the patient or therapist, but an opportunity to grow and learn. With the right help and determination, it is possible to overcome obstacles and achieve the therapeutic objectives.
In short, therapeutic failure is a common challenge that can be identified and worked on. Understanding the causes and signs of alert, it is possible to adjust the therapeutic approach and overcome obstacles. If you are facing a therapeutic failure, don’t give up – seek help and are willing to make changes to achieve your goals.
